Healogics Specialty Physicians Of South Carolina, Llc - Medicare Primary Care in Myrtle Beach, SC

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Healogics Specialty Physicians Of South Carolina, Llc is a medicare enrolled primary clinic (Preventive Medicine - Undersea And Hyperbaric Medicine) in Myrtle Beach, South Carolina. The current practice location for Healogics Specialty Physicians Of South Carolina, Llc is 5050 Highway 17 Byp S, Myrtle Beach, South Carolina. For appointments, you can reach them via phone at (843) 839-6000. The mailing address for Healogics Specialty Physicians Of South Carolina, Llc is Po Box 645743, Cincinnati, Ohio and phone number is (855) 689-5105.

Healogics Specialty Physicians Of South Carolina, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033531850. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (843) 839-6000.

Contact Information

Healogics Specialty Physicians Of South Carolina, Llc
5050 Highway 17 Byp S
Myrtle Beach
SC 29588-4500
(843) 839-6000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHealogics Specialty Physicians Of South Carolina, Llc
SpecialityPreventive Medicine
Location5050 Highway 17 Byp S, Myrtle Beach, South Carolina
Authorized Official Name and PositionFrank Williams (CEO)
Authorized Official Contact9044463519
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Healogics Specialty Physicians Of South Carolina, Llc
Po Box 645743
Cincinnati
OH 45264-6017

Ph: (855) 689-5105		Healogics Specialty Physicians Of South Carolina, Llc
5050 Highway 17 Byp S
Myrtle Beach
SC 29588-4500

Ph: (843) 839-6000

NPI Details:

NPI Number1033531850
Provider Enumeration Date01/14/2014
Last Update Date06/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8325261209
Medicare Enrollment IDO20140521002244

Medical Identifiers

Medical identifiers for Healogics Specialty Physicians Of South Carolina, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033531850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine (* (Not Available))Primary
208600000XSurgery (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Healogics Specialty Physicians Of South Carolina, Llc acts as a billing entity for following providers:
Provider NameAdam H Mandel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629077052
PECOS PAC ID: 1759324619
Enrollment ID: I20050602000451
Provider NameWilliam E Wheeler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1821033077
PECOS PAC ID: 1951319573
Enrollment ID: I20060323000466
Provider NameJames L Hagan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1609826403
PECOS PAC ID: 9830198340
Enrollment ID: I20061211000554
Provider NameMichael White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003815358
PECOS PAC ID: 6103858832
Enrollment ID: I20070723000294
Provider NamePeter M Bleyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417936576
PECOS PAC ID: 5890821243
Enrollment ID: I20100325000179
Provider NameMary R Dortenzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215105085
PECOS PAC ID: 9537239512
Enrollment ID: I20100625000084
Provider NameMelissa Fritsche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881891315
PECOS PAC ID: 3678698636
Enrollment ID: I20100914000687
Provider NameAlex Brian Mcintyre
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1801808548
PECOS PAC ID: 7416091814
Enrollment ID: I20100924000837
Provider NameDana Bettina Pournaras
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205065539
PECOS PAC ID: 6800045063
Enrollment ID: I20121003000161
Provider NameAmanda T Larson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508026444
PECOS PAC ID: 7911140173
Enrollment ID: I20130909000109
Provider NameDipali R Sahoo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942492392
PECOS PAC ID: 5496870057
Enrollment ID: I20131111000611
Provider NameJaime Christine Wise
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740319904
PECOS PAC ID: 8426125741
Enrollment ID: I20140722001960
Provider NameThomas G Foreman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942284047
PECOS PAC ID: 1355306325
Enrollment ID: I20140822001524
Provider NameNicholas Constantine Mexas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396743100
PECOS PAC ID: 3072830140
Enrollment ID: I20150330001408
Provider NameRaymond S Corpe
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366556417
PECOS PAC ID: 8224193255
Enrollment ID: I20150901000416
Provider NameSonja Lichtenstein Zayneh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821175274
PECOS PAC ID: 7618873241
Enrollment ID: I20160310001713
Provider NameAlexander M Guba
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396879284
PECOS PAC ID: 2860780749
Enrollment ID: I20161010000031
Provider NameBradley D Hare
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013154632
PECOS PAC ID: 1658530753
Enrollment ID: I20161103000356
Provider NameEvan Daniel Kane
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003250051
PECOS PAC ID: 2668772807
Enrollment ID: I20161207000956
Provider NameJeffrey Robert Jacobs
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154454098
PECOS PAC ID: 7719012194
Enrollment ID: I20170322000192
Provider NameDavid L Demby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396285557
PECOS PAC ID: 6608146543
Enrollment ID: I20170725003353
Provider NameHope Easler Lipscomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255848032
PECOS PAC ID: 9234490038
Enrollment ID: I20180219000128
Provider NameGary Allen Summerfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588967533
PECOS PAC ID: 8224399654
Enrollment ID: I20180228001113
Provider NameStacie Newman Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114423175
PECOS PAC ID: 3870849532
Enrollment ID: I20180711000206
Provider NameWilliam John Bicket
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1093713000
PECOS PAC ID: 1456496959
Enrollment ID: I20190307002440
Provider NameJohn Charles
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1457359044
PECOS PAC ID: 4981875424
Enrollment ID: I20190612001138
Provider NameSally Delmastro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073999116
PECOS PAC ID: 7214238641
Enrollment ID: I20190626003761
Provider NameFaith Tangel Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831751486
PECOS PAC ID: 9032449343
Enrollment ID: I20191001000030
Provider NameMelanie Widener Brant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316571888
PECOS PAC ID: 5890124242
Enrollment ID: I20200406001478
Provider NameElizabeth Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700831138
PECOS PAC ID: 1658497037
Enrollment ID: I20210121001642
Provider NameCrystal K Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316609795
PECOS PAC ID: 4284023425
Enrollment ID: I20211110000668
Provider NameMary Bleszcz-marmorato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811201411
PECOS PAC ID: 5294917456
Enrollment ID: I20220124000332
Provider NameSandra Fearrington
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1487855235
PECOS PAC ID: 5092956318
Enrollment ID: I20230502002740
Provider NameElizabeth Diane Rose
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457704033
PECOS PAC ID: 7315392248
Enrollment ID: I20231012003973

Reviews and Comments


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Phone: 843-504-3421    Fax: 843-504-3422
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Medicare: Not Enrolled in Medicare
Practice Location: 8170 Rourk St, Myrtle Beach, SC 29572
Phone: 843-449-2336    Fax: 843-497-2505
Carolina Health Specialists
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Medicare: Medicare Enrolled
Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588
Phone: 843-497-5929    Fax: 843-293-1115
La Bella Md
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Medicare: Not Enrolled in Medicare
Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579
Phone: 843-424-3015    
Jga Medical Ventures, P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4798 Woodview Ln, Myrtle Beach, SC 29575
Phone: 843-828-3352    Fax: 843-357-1471

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.